| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $9,549.93 | $11,748.98 | $11,748.98 | |
CareSource
| Facility | $239.88 | $3,467.37 | $46,773.51 | |
CareSource
| Professional | $239.88 | $3,090.30 | $5,370.32 | |
Molina
| Professional | $44.67 | $44.67 | $44.67 | |
United
| Professional | $309.03 | $501.19 | $630.96 |